John K. Russell, Ph.d. A Psychological Corporation - Medicare Mental Health Clinic in Long Beach, CA

John K. Russell, Ph.d. A Psychological Corporation is a medicare enrolled mental health clinic (Psychologist - Addiction (substance Use Disorder)) in Long Beach, California. The current practice location for John K. Russell, Ph.d. A Psychological Corporation is 1945 Palo Verde Avenue, Suite 202, Long Beach, California. For appointments, you can reach them via phone at (562) 799-3333. The mailing address for John K. Russell, Ph.d. A Psychological Corporation is 1945 Palo Verde Ave, Suite 202, Long Beach, California and phone number is (562) 799-3333.

John K. Russell, Ph.d. A Psychological Corporation is licensed to practice in California (license number PSY4430). The clinic also participates in the medicare program and its NPI number is 1851711881. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (562) 799-3333.

Contact Information

John K. Russell, Ph.d. A Psychological Corporation
1945 Palo Verde Avenue
Suite 202
Long Beach
CA 90815-3445
(562) 799-3333
(562) 799-3355

Map and Direction


Mental Health Clinic Profile

Full NameJohn K. Russell, Ph.d. A Psychological Corporation
SpecialityPsychologist
Location1945 Palo Verde Avenue, Long Beach, California
Authorized Official Name and PositionJohn Kenneth Russell (PRESIDENT)
Authorized Official Contact5627993333
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John K. Russell, Ph.d. A Psychological Corporation
1945 Palo Verde Ave
Suite 202
Long Beach
CA 90815-3443

Ph: (562) 799-3333
John K. Russell, Ph.d. A Psychological Corporation
1945 Palo Verde Avenue
Suite 202
Long Beach
CA 90815-3445

Ph: (562) 799-3333

NPI Details:

NPI Number1851711881
Provider Enumeration Date04/17/2014
Last Update Date04/17/2014

Medicare PECOS Information:

Medicare PECOS PAC ID9032335336
Medicare Enrollment IDO20140723000078

Medical Identifiers

Medical identifiers for John K. Russell, Ph.d. A Psychological Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851711881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) PSY4430 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. John K. Russell, Ph.d. A Psychological Corporation acts as a billing entity for following providers:
Provider NameJohn K Russell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407843295
PECOS PAC ID: 3476776501
Enrollment ID: I20140519001083

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.